Individual
JUSTIN THOMAS HALL
Active
Individual
JUSTIN THOMAS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459346
—
AZ
Enumeration date
11/07/2018
Last updated
10/20/2021
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